0001104659-22-071016.txt : 20220614 0001104659-22-071016.hdr.sgml : 20220614 20220614161744 ACCESSION NUMBER: 0001104659-22-071016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220613 FILED AS OF DATE: 20220614 DATE AS OF CHANGE: 20220614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carr-Smith Jennifer CENTRAL INDEX KEY: 0001828401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 221015095 MAIL ADDRESS: STREET 1: 28 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Apron Holdings, Inc. CENTRAL INDEX KEY: 0001701114 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 814777373 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 28 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10005 BUSINESS PHONE: 347-719-4312 MAIL ADDRESS: STREET 1: 28 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10005 4 1 tm2218334-2_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-06-13 0 0001701114 Blue Apron Holdings, Inc. APRN 0001828401 Carr-Smith Jennifer C/O BLUE APRON HOLDINGS, INC. 28 LIBERTY STREET NEW YORK NY 10005 1 0 0 0 Class A Common Stock 2022-06-13 4 M 0 12494 A 18574 D Restricted Stock Units 2022-06-13 4 M 0 12494 0 D Class A Common Stock 12494 0 D Restricted Stock Units 2022-06-13 4 A 0 19293 0 A Class A Common Stock 19293 19293 D Restricted stock units ("RSUs") convert into Class A Common Stock on a one-for-one basis. This transaction represents the settlement of RSUs in shares of Class A Common Stock on their scheduled vesting date. The RSUs vested in full on June 13, 2022 and are subject to a deferral election. Shares of Class A Common Stock will be delivered to the Reporting Person as per the terms of the deferral election. Each restricted stock unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSUs are scheduled to vest in full on the earlier of June 13, 2023 and the date of the issuer's 2023 annual meeting of stockholders. The Reporting Person has elected to defer settlement of the shares of Class A common stock underlying these RSUs until the earlier of (i) 30 days following the Reporting Person's "separation from service" with the issuer and (ii) a "change in control event," each as defined under Section 409A of the Internal Revenue Code of 1986, as amended. /s/ Meredith Deutsch, as attorney-in-fact for Jennifer Carr-Smith 2022-06-14